Personalized Communication is an Example of Successful Creativity in Caretaking. When discussing the organization and operations of Blessings Home, staff members emphasize the importance of their core values. Two of these fundamental values are innovation and excellence. While volunteering and observing, I have noticed that these values are strongly supported through the creativity staff members use when caring for medically fragile children. When trying to get to the root of why so much effort is put into communication at Blessings Home, I found this interview to be particularly insightful. A support staff member who is also currently a senior at a local university said, “Talking to them and not talking above them or around them is, I think, …show more content…
Depending on the reasoning behind communication in an interaction, the style changes. Communication to achieve a goal largely depends on responsiveness to signals denoting choice or desire. Staff members in interviews addressed several styles they have seen in communicating in these instances, such as facial expression, sign language, and body language. Each staff member, when discussing these strategies, noted that all of these strategies require attention and flexibility as every child handles communication differently and the clarity behind their responses can vary. Once a staff member explained that, “If somebody’s crying and upset and I try one thing and that doesn’t stop them, I gotta keep trying. I am so in awe of our staff because our staff just never stops trying to find a way. Like they just keep going, ‘No she doesn’t like that’.” I have had the opportunity to participate in many of these interactions while volunteering and can attest to the difficulty at times in understanding the message that the child is sending me. However, the staff members have provided many insights that I have found to be very effective when applied. In one instance, during my volunteer shift, John (RN) had to briefly step out of the room to get medications prepared for two of the patients. There were other nurses …show more content…
The components of performance that I found to be particularly effective were autonomy, labeling, identity, safety, and communication. Using these principles in patient-provider interactions fosters a sense of community, respect, and compassion. At first look, Blessings Home may appear to be what Goffman calls a total institution. They are an institution in which, for short periods, patients have all aspects of their lives conducted within the home. However, that portion of Goffman’s definition is where the similarities end. Blessings Home does not treat each child as being the same or force a consistent, pre-planned activity schedule on the patient. Instead, they create a community in which individuality is celebrated. Importantly, they do this while maintaining highly organized and successful medical and social care. To do all of these things simultaneously, the Blessings Home caretakers maintain a strong, team-oriented performance rooted in the pre-work they complete with the patients’ families. Goffman explains that in total institutions, there is characteristically an exclusion of the patient from the decision-making process, even in terms of their own fate. According to him, this is largely effective because of the perceived consequence of punishment if the patient doesn’t cooperate. It is important to note that this oftentimes is
These providers will provide directives and resources to parents in a positive way so they can be involved in their child’s development to help with a successful progress. The parents can feel a sense of relief that they are helping their child and that can only be done with help from healthcare providers.
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
goals and values, provides mechanisms for continuous communication among caregivers, optimizes staff participation in clinical decision-making and fosters respect for the contribution of all disciplines” (Nolte, 2005, p. 4).
As a future nurse practitioner, I have given immense thought to the selection of a clinical practice based on the primary care setting that utilizes the collaboration model. I have selected this type of clinical practice because it best suits my professional and personal goals. I value autonomy while having the ability to work within a healthcare team and enjoy teaching my patients. Nurse practitioners (NPs) are a valuable part of the healthcare team. In the 1960s, from a vision to improve primary healthcare to under-serviced communities, the development of the first NP program developed out of need as a public service and focused on the care of pediatrics and since then the care of other specific populations such as families, adults, geriatrics, and women health has emerged (Anderson & O’Grady, 2009, p. 380).
A hospital needs to first care for their patients as well as their employees (Eberst, 2008). If employees are mistreated this will not promote quality of care for patients. They need to promote a trustworthy environment where patients can be comfortable and trust their physicians and doctors. It also is essential to allow patients to sleep (Eberst, 2008). This environment also promotes and encourages the patients to regain their health which includes spiritual and religious beliefs. This component of the healing hospital aligns well with spirituality because a healing hospital considers the spirit or soul as part of the healing environment. Every person has a spiritual part of them because they are made in the image of God (Shelley, 2006). A healing hospital takes this into
Through contemporary communication, we are educated to deliver exceptional care to our patient in different. As nurse practitioners, we learned how to effectively
Xu, staples and Shen define nonverbal communication as “facial expression and body language” and further mentions that communication is a reciprocal process between 2 or more people relaying understanding, ensuring the output is acknowledges and correctly conveyed. Video three’s interview indicates poor non verbal communication between 4:36 and 4:54. The Nurses’ body language is closed, leaning over the interview documents, not facing the patient, nor making eye contact. There are no hand gestures or head nodding to let the patient see visual signs that the communication is being clearly conveyed and comprehended. The Nurse is distracted, twisting her hair in disinterest. While the nurse does use vocal acknowledgement while scratching her head saying “oh yeah, ummmm”, there was no recall of what was said by the patient to confirm a mutual understanding. The nurse has effectively omitted 10 seconds of interview, causing a breakdown in communication, spanning content, observed reaction, facial expressions and body language which may have lead to required vital medical history. In order for non verbal indicators to be improved in this scenario, the nurse is required to provided undivided attention to the patient. Leaning toward the patient is a posture signifying empathy and a good attitude (Xu, Staples &Shen 2010). The nurse is required to make a commitment to be entirely engaged in the patients communication to ensure that the messages is conveyed accurately, refraining from performing other tasks such as writing or hair twisting while the patient is speaking. Facing the patient, and maintain eye contact, smiling, assuring nods, and touching will enhance the non verbal plane of patient- nurse communicati...
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
450), which involves empowerment and collaboration between all involved partners (Institute for Patient- and Family- Centered Care, 2010a, para. 1). The overall goal is to improve patient and families satisfaction with the health care system while striving for optimal clinical outcomes for patients (Frampton et al., 2008, p. 40). Additionally, the term family is best described as whomever that particular person views as their family, regardless of blood relation or their place of residence (Piper, 2011, p. 128). To me, PFCC plays a substantive part in my nursing practice. Not a workday goes by that I don’t interact with a family member or friend of a patient on my unit in some way. Certain families provide imperative and valuable information about their family members life and illness experience, which could have a positive impact on their health outcomes. For example, if a patient suffers from dementia and is unable to recall the medications that they take at home, the family is often a great resource to find out this information, so that this patient receives the medications that they require while in the hospital. The Registered Nurses’ Association of Ontario (2015) supports the idea of PFCC, as patients and families are viewed as experts on their own life and health, whereas healthcare professionals are viewed as experts when it comes to evidence
The communication will need to be adapted depending on the situation and the environment that the adults and children are in. For example in my setting when I have dealt with child’s behavior I have to use a firmer voice and my facial expressions change to a sad face so that understand the situation. Another example is praising a child’s achievement and I changed the tone of my voice and facial expression.
Communication is continuously disregarded and overlooked, however the skill to communicate efficiently is mandatory to articulating concepts, feelings and diffusing ideas. Stated by Stacey Huish (2013) “Communication is the process of transferring information from a sender to a receiver with the use of a medium in which the communicated information is understood by both the sender and receiver”. Effective communication particularly in a nursing context, is substantial as all nurses are anticipated to develop a sense of agency and use their interaction with patients to support and provide assistance effectively. Upon analyzing two distinct scenarios based on a nurse’s communication towards a patient, it can be made apparent the effective and non-effective practices in communication, as well as the effective or ineffective techniques to client interaction, impact the competence of one’s communication which either provides poor or adequate communication. The foremost concepts of communication evident in each scenario is body language, eye contact and lack of communication. Body language, eye contact and a lack of communication are predominant factors that distinguish one’s capability to interact competently or incompetently with a patient in numerous circumstances.
...using words your patient is used to and will understand. Clarify your message with body language, tone of voice, facial expression touch and gestures.
It is through these resources that an individual or family gets the help required to overcome their health care obstacles. This approach understands that family is a small segment of a larger group and that these segments interact on an ongoing basis. This approach is mainly used in the community nurse setting.
The verbal communication goal is to encourage the client to fully express the changes and wants of set outcomes established. Both verbal and non- communication can have an impact on the client once interaction is met. Non-verbal communication consists of body language, facial expressions, closeness, and eye contact (Schore, 2008). If a client senses the listener is uninterested or showing signs of discomfort due to their diagnosis or disability, it can cause one to be unengaged in the conversation. Verbal communication can also result in the same disengagement due to the social worker/ therapist tone of voice. Social workers are to be mindful and educated on the background of the client being served to be aware of the different approaches to take when engaging with the individual. The social work intern effective of non-verbal communication skills as the client continued to discuss her life before her recent hospitalization. The social work intern ensured to make steady eye contact, in which the client was receptive of. The social work intern also created a posture that created empathic body language, allowing the client to be more open during
Have you ever wished to have something so desperately and then gotten it? How much satisfaction did you feel? Leo Tolstoy's parable How Much Land Does a Man Need? is a simple tale that carries a moral lesson about the way people should think and act towards what they greed. The story focuses on a central character, Pahom, whom the events of the story revolve around. Other characters, such as the Devil, serve an important role as well.